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American journal of public health最新文献

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AJPH New Editorial Section: Voices of Public Health Academic Leaders. AJPH新编辑部:公共卫生学术领袖的声音。
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-04-01 DOI: 10.2105/ajph.2026.308418
Paul C Erwin,Denys T Lau
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引用次数: 0
Navigating Graduate Education in an Era of Policy-Driven Employment Pressures. 在政策驱动的就业压力时代,如何引导研究生教育。
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-04-01 DOI: 10.2105/ajph.2026.308420
Fauwad Ahmed
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引用次数: 0
Beyond Inclusion: Policy Shifts Reshaping Careers for Black Women in Public Health. 超越包容:政策转变重塑黑人女性在公共卫生领域的职业。
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-04-01 DOI: 10.2105/ajph.2025.308400
Nqobile Nzama,Amanda Scott-Davis,Jelani C Kerr
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引用次数: 0
National Policy Changes Impacting Transgender Populations and Their Implications for Researchers and Public Health. 影响跨性别人群的国家政策变化及其对研究人员和公共卫生的影响。
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-04-01 DOI: 10.2105/ajph.2025.308386
Gray Babbs,Em Balkan,Rey Flores,Jaclyn M W Hughto
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引用次数: 0
How the Escalating War on Immigrants Impacts Students' Mental Health and Well-Being. 不断升级的移民战争如何影响学生的心理健康和福祉。
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-04-01 DOI: 10.2105/ajph.2025.308401
Michelle Zaragoza
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引用次数: 0
Disaggregating Gestational Diabetes and Hypertension Among Hispanic Mothers in Florida by Nativity and Country of Birth: 2004-2022. 2004-2022年佛罗里达州西班牙裔母亲的妊娠期糖尿病和高血压的出生和出生国家分类
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-04-01 DOI: 10.2105/ajph.2025.308359
Cynthia N Lebron,Michaela Larson,Mary Mitsdarffer,Tayla von Ash
Objectives. To examine differences in the prevalence of gestational diabetes and gestational hypertension by maternal nativity and country of birth among Hispanic mothers in Florida. Methods. We conducted a retrospective analysis of 1 130 250 births from Florida birth certificate data between 2004 and 2022. We compared Hispanic maternal health outcomes by nativity (US-born vs foreign-born) and country of birth using descriptive statistics and nested log-binomial regression models, adjusting for sociodemographic covariates. Results. Foreign-born Hispanic mothers had a higher prevalence of gestational diabetes (5.3%) but lower rates of gestational hypertension (4.3%) than did US-born mothers (4.7% and 5.3%, respectively). Foreign-born mothers from Mexico, Guatemala, Honduras, and Nicaragua had significantly lower adjusted risks for gestational diabetes. Gestational hypertension risk was also lower for most foreign-born groups. However, foreign-born Puerto Rican and Cuban mothers had elevated risks for gestational diabetes compared with their US-born counterparts. Conclusions. Maternal health risks vary substantially in the Hispanic population by nativity and heritage, underscoring the need to disaggregate data to identify disparities. Public Health Implications. Policies and interventions should account for subgroup-specific risks to effectively address maternal health inequities in Hispanic communities. (Am J Public Health. 2026;116(4):512-521. https://doi.org/10.2105/AJPH.2025.308359).
目标。研究佛罗里达州西班牙裔母亲的妊娠期糖尿病和妊娠期高血压患病率的差异。方法。我们对2004年至2022年间佛罗里达州出生证明数据中的1,130 250名新生儿进行了回顾性分析。我们使用描述性统计和嵌套对数二项回归模型,调整了社会人口统计学协变量,比较了西班牙裔产妇的出生(美国出生与外国出生)和出生国家的健康结果。结果。外国出生的西班牙裔母亲的妊娠糖尿病患病率(5.3%)高于美国出生的母亲(4.7%和5.3%),但妊娠高血压患病率(4.3%)低于美国出生的母亲(分别为4.7%和5.3%)。来自墨西哥、危地马拉、洪都拉斯和尼加拉瓜的外国出生的母亲患妊娠糖尿病的调整后风险显著降低。大多数外国出生人群的妊娠期高血压风险也较低。然而,与美国出生的母亲相比,外国出生的波多黎各和古巴母亲患妊娠糖尿病的风险更高。结论。西班牙裔人口的孕产妇健康风险因出生和遗产而有很大差异,因此需要对数据进行分类,以确定差异。公共卫生影响。政策和干预措施应考虑到特定亚群体的风险,以有效解决西班牙裔社区孕产妇保健不平等问题。[J] .中华卫生杂志,2009;16(4):521 -521。https://doi.org/10.2105/AJPH.2025.308359)。
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引用次数: 0
Health Plans as Public Health Leaders: Advancing Vaccine Access Through Evidence, Trust, and Collaboration. 作为公共卫生领导者的卫生计划:通过证据、信任和合作推进疫苗获取。
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-04-01 DOI: 10.2105/ajph.2025.308406
Ravi Kavasery
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引用次数: 0
Navigating "Wicked" Disagreement in Public Health. 在公共卫生中导航“邪恶”的分歧。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-04-01 Epub Date: 2026-02-05 DOI: 10.2105/AJPH.2025.308350
Safura Abdool Karim, Ruth Faden, Anne Barnhill, Virginia A Brown, Jeff Kahn, Nancy Kass, Anna Mastroianni, Stephanie Morain, Vardit Ravitsky, Reed Tuckson

Public health has long grappled with moral and epistemic disagreement-conflicts over values and facts that shape decisions about how best to protect population health. While these forms of disagreement are not new, recent years have seen a shift toward a more entangled and intractable form, which we term "wicked" disagreement. This wicked disagreement, adapted from the concept of wicked problem, sees political identity as shaping both factual beliefs and moral commitments, rendering traditional tools of public health persuasion-such as appeals to evidence or shared values-ineffective. Wicked disagreement is not defined by what is disputed but by the polarized context in which facts, values, and identity are deeply fused. In this essay, we argue that public health must develop new strategies for navigating this terrain, including sustained engagement with a wide range of communities, transparent communication about uncertainty, and a willingness to revise guidance publicly. Navigating wicked disagreement is not about achieving consensus. It is about finding trustworthy ways to protect life and advance health in a fractured public sphere. (Am J Public Health. 2026;116(4):544-551. https://doi.org/10.2105/AJPH.2025.308350).

长期以来,公共卫生一直在努力解决道德和认识上的分歧,即在决定如何最好地保护人口健康的价值观和事实方面的冲突。虽然这些形式的分歧并不新鲜,但近年来,我们看到了一种更复杂、更棘手的形式的转变,我们称之为“邪恶的”分歧。这种邪恶的分歧,改编自邪恶问题的概念,认为政治认同塑造了事实信仰和道德承诺,使公共卫生说服的传统工具——如诉诸证据或共同价值观——无效。邪恶的分歧不是由争议的内容来定义的,而是由事实、价值观和身份深深融合在一起的两极分化的背景来定义的。在这篇文章中,我们认为公共卫生必须制定新的战略来导航这一领域,包括与广泛的社区持续接触,对不确定性进行透明的沟通,以及公开修改指导的意愿。驾驭邪恶的分歧并不是要达成共识。它是关于在支离破碎的公共领域中寻找可信赖的方法来保护生命和促进健康。公共卫生。2026年2月5日在线出版:e1-e9。https://doi.org/10.2105/AJPH.2025.308350)。
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引用次数: 0
Navigating a Politicized Landscape: The Imperative for Activist and Advocate Leadership in Public Health Education. 导航一个政治化的景观:在公共卫生教育活动家和倡导者领导的必要性。
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-04-01 DOI: 10.2105/ajph.2025.308402
Pedro A Serrano
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引用次数: 0
Insights on Recent National Policy Changes: Public Health Students' Experiences. 对最近国家政策变化的见解:公共卫生学生的经验。
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-04-01 DOI: 10.2105/ajph.2026.308425
Alexandra K Rodriguez,Amen T Ajamu,Dorcas Ama Adom,Lois Angelo,Taylor Green,Carmen White
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引用次数: 0
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